2348 Seminole Reach Ct DWAY23-0060 permitOWNER:ADDRESS:CITY:STATE:ZIP:
SCRUGGS MICHAEL L 2348 Seminole Reach Ct ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
CORNERSTONE SOLUTION
HOME AND BUSINESS I 5154 W Edward St JACKSONVILLE FL 32254
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
168846 5720 SEMINOLE REACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2348 SEMINOLE REACH CT DRIVEWAY SINGLE OR TWO
FAMILY DRIVEWAY
Remove driveway &
walkway, replace with
pavers
$4430.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL
Notes:
Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is
needed, call 247-5878. State Law requires calling Sunshine 811 to have ALL public utilities located BEFORE beginning the work.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 3Issued Date: 11/9/2023
PERMIT NUMBER
DWAY23-0060
ISSUED: 11/9/2023
EXPIRES: 5/7/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 PUBLIC UTILITIES METER BOX SEWER CLEAN OUT INFORMATIONAL
Notes:
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.
3 PUBLIC UTILITIES ADDITIONAL COMMENTS PUBLIC UTILITIES INFORMATIONAL
Notes:
See Revocable Encroachment Agreement regarding driveways/pavers and public utilities in the ROW
4 PUBLIC WORKS DRIVEWAY APRON INFORMATIONAL
Notes:
All concrete driveway aprons must be 5 inches thick, 4000 psi, with fibermesh from edge of pavement to the property line. Reinforcing rods or mesh are
not allowed in the City right-of-way.
5 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL
Notes:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line (904-247-
5814) to request an Erosion and Sediment Control Inspection prior to start of construction.
6 PUBLIC WORKS DUMPSTERS/ROLL-OFF CONTAINERS INFORMATIONAL
Notes:
Dumpsters and roll-off containers must be used in compliance with Section 16-8 and must comply with all standards, per City code.
7 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
8 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
Maximum driveway width within the City right-of-way is 20 feet.
9 PUBLIC WORKS GRASS INFORMATIONAL
Notes:
Full site to be grassed.
10 PUBLIC WORKS REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
11 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL
Notes:
All construction debris must be removed from job site by Contractor.
12 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
2 of 3Issued Date: 11/9/2023
PERMIT NUMBER
DWAY23-0060
ISSUED: 11/9/2023
EXPIRES: 5/7/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PU REVIEW BUILDING MOD OR ROW 001-0000-329-1007 0 $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $150.00
13 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL
Notes:
Must match existing square footage and layout. No new or additional impervious area is approved or allowed on this property.
3 of 3Issued Date: 11/9/2023
PERMIT NUMBER
DWAY23-0060
ISSUED: 11/9/2023
EXPIRES: 5/7/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
t ' ' BUILDING PERMIT APPLICATION FORINTERNAL OFFICE USEONLY
City of Atlantic Beach BuildingDepartmenty"•^ p PERMIT#tlti} Z> V. /
800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to processx4J:t Phone: (904) 247-5826 Email: Building-Dept@koab.us
Job Address j L I hct &ae 1_ - /i 1' RE# I (0(?-',‹°)(1 , : Z ..
Legal Description Li Z S c1 i.
1. ( "
t1(y_LE NC Lt Lo-k L {
Valuation of Work(Replacement Cost) '-1t Li r) , 00 Heated/Cooled SF Non-Heated/Cooled SF
Class of Work: D New ElAddition Arkteration [Repair Move Demo 0Pool Window/Door
Use ofexisting/proposed structure(s): Commercial kiesidential
If an existing structure,is a fire sprinkler system installed?: Yeso
Will tree(s)be removed in association withproposed project? Dyes(Must submit separate Tree Remp_val Permit).,.g-No
Describe in detail the type ofwork to be performed:
ReellDVC dr(Nfe- 3 l,LuoOi:(A5LI?4t r- os..- w t .- ve.6 •
Florida Product Approval# For multiple products use Product Approval Information Sheet)
Property Owner Information Name rykikc .SO4/1-4.191,Phone Lj - i1?,( - 13"7Addresso937 3eryli ' de CaOk CA-City an'hc. bY tate a. Zip
tt
3,„2,23.3
Email pyljKe('rt iggS 1,65:AynerorAgent(If Agent,Power ofAttorneyorAgencyLetter Required)
Contractor Information Name of Company £!.brney4C:Wle $oILL-4,'61 Phone Spy -
Address 1, i i.-1 E 4 trj 5f- City daeksoh v((lQ State F L Zip .B, SJy
Qualifying Agent State Certification/Registration#
Email a came, -ol)e uib• Cbi" Job Site Contact Number
Worker's Compensation Insurer OR Exempt 0 Expiration Date
Architect's Name Email Phone
Engineer's Name Email Phone
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation has
commenced prior to the issuance of a permit and that all workwill be performed to meetthe standards of all thelaws regulatingconstructioninthisjurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc.
NOTICE:In addition to the requirements of this permit, there may be additional restrictions applicable to this property that maybefoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities
suchas watermanagement districts, state ogencies, orfederal agencies.
OWNER'S AFFIDAVIT: Icertify that all the foregoing information isaccurate andthat all work will bedone in compliance with all applicablelawsregulatingconstructionandzoning.
Wnn!" G TO OW!Fn- YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH OUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.K__,J /L,/,c,Ak.\11._A._..._,, _ignature o n r or Agent) Signature of Contractor)
ned and sworn to(or affirmed be ore me this Jo It day of Signed and sworn to(or affirmed)before me this ZS day of
Clc.fr719 (ao, by iy CI ScIG;• QL bt( , 202 by ILa -( N . 111naGi
Signature of Notary dr ., Ad .~11/ -
4 Signature of Notary
I ) Personally Known OR Produced dentification I Personally Known- j'Produced Identification
Type of Identification: H., 111, L ratification: • L 3L_
r*e ZACHARY KAHALY'=
Notary Public-Stateof Florida i a `
VANESSA ANGERSr4:51.1 Commission 4GG 924046r . My Comm.Expires Oct 20,2023 o-; MYCOMMISSION#HH244118
Banded through National Nctary Assn. FbFP, • EXPIRES:March 23,2026
RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION ALL INFORMATIONfeN-
City of Atlantic Beach HIGHLIGHTED IN GRAY IS
800 Seminole Road, Atlantic Beach, FL 32233 REQUIRED.
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address 2 'k b o-- Nv L C i LPkV` C LOPermitNumberNI 12- op
Contractor Information
Company CoQoE•e(,(-00 s(Du, zc Qualifying Agent KOK)At ( 'Y .".1
Address S 1 11 ( c1 k Ovti) S*YCE t City lAC.1--SSU 'i State PL Zip 3 22,94
Phone 010 330 /B?°Email 3C0LCc (&(o ('s•4c( +la• c v.-sr\
State Certification/Registration#
Architect Phone Email
Engineer Phone Email
Workers Compensation Insurer OR Exempt c Expiration Date
Permittee declaresthat priortofiling thisapplication theyhave ascertained the location of all existing utilities, both aerial
and underground and the accurate locations are shown on the sketches.
Whenever necessary for the construction, repair, improvement, maintenance,safe and efficient operation,alteration or
relocation of all,or any portion ofsaid street or easement as determined by the Public Works Director,any or all said poles,
wires, pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said
street or easement or reset or relocated hereon as required by the Public Works Director and at the expense of thePermitteeunlessreimbursementisauthorized.
All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the
supervision of KjE\A)At, (I $)
1 Project Superintendent)
with(Company Name) CCj k)eT?S(-off F v`u-x.j4 j Phone 9014 3 30 QC
All materials and equipment shall be subject to inspection by the Public Works Director.
All city property shall be restored to its original condition as far as practical, in keeping with City specifications and the
manner satisfactory to the City.
A sketch of plans covering details of this installation,as well as a copy of a recent survey shall be made a part ofthis permit.Calculationsshowingany increase inimpervious area on owner's lot or in the City right-of-wayare to be included withthisapplication.
The permittee shall commence actual construction in good faith within days. If the beginning date is more than 60
days from date of permit approval then permittee must review the permit with the Public Works Director to make sure no
changes have occurred in the area that would affect the permitted construction.
It is understoodand agreed that the rights and privileges herein set outare granted only to the extentofthe City's right,title and interest in the landto be entered uponand used by the holder,andthe holder will,at all times,assumeall risk of
and indemnify, defend and save harmless the City ofAtlantic Beach from and against any and all loss,damage and cost of
expenses arising inany manner ofthe exercise orattempted exercises by theholderofthe aforesaid rights and privileges.
The Public Works Director shall be notified 24 hours prior to starting work and again immediately upon completion.
Y`fla, Date 1(. -' t.Permittee(signed in presence of Notar blit)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this 0LI- ZSrCell)of € t)b L. ,
4r.
20 Z
AA
by I v(_)e, ,sLtvgG15 who personally appeared before me and
printed name of Permittee)
0 ,&s CHRISTIANA V O'CONNORacknowledgedthathe/she signed the instrument voluntarily for the purpose expressed in it. Nota y Pubbc State of Fria
tt nuw`a Commission/HH 225946
My comm.expires Feb.7,2026
P sonally KnownSinaofNotaryPublic, Stateof Florida duced Identification(Type) * -L-0 L..-
H:\ApplicationsH:\Applications&Forms\Word&Excel Document Originals\201801001 Right-of-WayEasement Permit Application.docx Revision Date:10/1/18
i,. REVOCABLE ENCROACHMENT AGREEMENT ALL INFORMATION
yy City of Atlantic Beach HIGHLIGHTED INGRAY
J 800 Seminole Road,Atlantic Beach, FL32233 IS REQUIRED.
Cyr:31Dr
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
existing underthe laws of the State of Florida, hereinafter referred to as "CITY” and
I1/4AAVL £C U o c of Atlantic Beach, Florida, hereinafter
referred to as "USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the
property for the purpose as described in the City of Atlantic Beach.
This work is generally described as ZEP,IC(( -.4,'05 ?ct-uE ec - Lf Eu= pctisE 'S
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to
relocationor removal onthirty(30)days' notice byCITYto USER,saidnotice toUSERshall be givenbycertified mail,return
receipt requested,to the following address 3 tie , A.it..iAiOLQ j2(Ac-lA CA 4-kt.A J 4(-- t'2,(A.c.L
In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter
upon the above described easement or property of the CITY, the USER shall replace at the USER's sole expense,
any and all material necessarily displaced during the action of maintaining, repairing,operating, replacing or adding
to of the utilities and facilities ofthe CITY or franchise utility provider.
The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land
Development Code and all other land use and code requirements of the CITY, including City Code Section 19-7(h)
which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must
be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks."
The USER, prior to making any changes from the approved plans and/or method, must obtain written approval
from the City of Atlantic Beach Public Works Department, for said change within 30 days after the day of
completion.
This permit shall inure to the benefit of,and be binding upon,the USER and their respective successors and assigns.
USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or
specifications,to include utilities locate requirements and use limitations/requirements of easements, public right-
of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be saved
harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are
hereby a\\s__sumeddbby the USER.
J/_Q . t z C cI• e Date (v--D.:.5 a L
Property Owner/Agent (signed in pr•t:f ce of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this 2 5 day of 0 L h e 20 23
by NA k C S(,r 1/416300 printed name of Signer),who personally appeared
before me and acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
CHRISTIANA V O'CONNORv=p°s No!a'vPublic State ofFloridar--7.,..,:ommissiordl HH 225946
My comm.expires Feb.7,2026
Department Approval:
Si_•. re of Notary Publt e of Florida
Personally Known
C] Produced Identification(Type) ''''L—Q L. Public Works Department Date
Revision Date:05/09/2023
t:Nliipl4WRY SURVEY
N 89°43'35"W 60.00'
POINT FALLS IIIIIIN.I,I/II I I' 1OUND 1 "
IN WALL •4$$$$#4Stg IRON R0
F` II"SCREENED II/IIIIIII NO I.D.
IIIA POOL MIIIIIII
III" III/IIIII x-IIIII*. - ... .IIIIIII I WALLIIII/IIIIII i.IIIIII'II 4.7' IIIIIIIII,I IIII II1II
a 15.3' ~••••NII
44 I.•II'•IIII4II -L_
4rIIIIeJ
f0•!••••• 19.8' LOT 5 LuJ O
m Y U NIau)u)
5.0 14.8'--DDE
ao O Q
N N
50 ,,14.8'—
utZ;
cc; (.O I
I+1MI
c, 2.4 i. . •.
Z BUILDING II .
2348 5.4' WIWI •o wwail/
co 4? O ^ H4.6' 4.2' a r.lLOT3wIj-1
w LOT6I .Hi o ui
w zNN• I N .
SURVEY NOTES
FOUND 3/4" PAVERDRIVE CROSSING THROUGH7.5'J.E.A.E.
IRON ROD 27.3' W AND 5'U.D.E.AT EASTER SIDEOF
LOTON
Y SIDE
C.c 24.0'
tz
NO I.D.\ g,T I PAVERE(-Ft IY(o THERE ARE WALLS NEAR THE BOUNDARYDRNEI, _
j____,-
lo= OFTHE PROPERTY.
L1WOz J z PAVER SLAB CROSSES INTO 5 U.D.E.EIP
v IB _ ;IIIIII; —— 2' AT NORTHEASTERLY SIDE OF THE PROPERTY.
5 D.E./U.E.#,
23'LEJ`EJU.EJD.E r
r.: 'LOT7
23'RAN(IMPROVED) CA N
SEMI (SLE REACH COURT Q co
0Z LINE TABLE
5.25'D.EJU.E. LINE LENGTH BEARING
L1 49.50' S89°43'35"E
SET 1/2" S 89°43'35"W 60.00' SET 1/2" CURVE TABLE
IRON R00 IRON ROD CURVE ' LENGTH RADIUS DELTA
LB#7893 LB#7893
U NPLATTED C1 31.42' 20.00 90°00'00"
H - 0
at7c......----CTT--7,z,4 0 1•'ARGETNo.sa16 F`.?` SURVEYORS CERTIFICATE
IHEREBYAND CORRECTTHATTHISBOUNDARYSURVEY SURVEYING,R mi TG'fal ISATRUE AND CORRECT REPRESENTATION OFA
l`7U
1L
l.V ML jlSURVEYPREPAREDUNDERMYDIRECTION.
NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC LB#7893
J^ STATE OF / / SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL,
OR A RAISED EMBOSSED SEAL AND SIGNATURE, SERVING FLORIDA
0 p_- 6250 N.MILITARY TRAIL,SUITE 102WESTPALMBEACH,FL33407
PHONE (561)640.4800
SIGNED)
STATEWIDE PHONE (B00)226807
KENNETH J OSBORNE PArCF ,,; ,{p }FS, STATEWIDE FACSIMILE (B00)741-0576
PROFESSIONAL SURVEYOR AND MAPPER#6415 NO `u„L ^"^"CI! WEBSITE: httpJRargetsurveying.net
J
f
NOTICE OF COMMENCEMENT
State of f biA Tax Folio No. lip Ltb c 2 0
County of bJ UAc l
To Whom ItMay Concern:
The undersigned herebyinforms you that improvements will be madeto certain real property, and in accordance with Section 713oftheFloridaStatutes,the following information is stated in this NOTICE F COMMENCEMENT. nLegalDescriptionofpropertybeingimproved: 1(4 6." 3I • 25 . Z9 f. — SEW 1J094 CA to
L -(
cI I /Address of property being improved: 3y!i `ernl n(-)I-^e c .C'k. C
General description ofimprovements: pRV e r_` Cl 01 r I Y-e r,`lq u r 6r aYk+ LA.)*, 1 K Q rlc l'
sock and ,,,,e oree la c-edA t <' Ifo.r.rfryl d- S>°0.1I' oil
Owner: M Srr(
4-;,,,eador-.
S Address: QipY-f_
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name: Nike_ -SCr kc1 5 d- —151l'i MnC U UContractor: 11pi ')pi Srte_a ILA 4 I
Address:
Telephone No.: Fax No:
MO,-XJZ0Surety(if any)m O O
oz-<O34tAddress: a,Amount of Bond$ o,=g N
Telephone No: Fax No: N2 Pcnv.. wNameandaddressofanypersonmakingaloanfortheconstructionoftheimprovementst/ ' o o d—W
8 mN OName: o
oAddress: v
Phone No:Fax No: 74wo 13dNameofpersonwithintheStateofFlorida,other than himself,designated byowner upon whom notices or other docume o m
I Ubeserved: Name:
o
Address:Dr
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided
713.06(2)(b), Florida Statues. (Fill in at Owner'soption)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USEONLY OWNER
Signed: 1sc <-/W—'ac Date: j'
o+ ii, CHRISTIANA V O'CONNOR Before methis 2`1 day of • 1 2_450in the County of Duval,State
2` =. Notary Public.State of FloridaOf Florida,has personally appeared (Yl . f S(,1 UC S
ri ::Commiss,oni HH 225946 Notary Public at Large,State of Florida,County ofDuval.
My comm.expires Feb.7,2026 My commission expires: 2---1. L02-Ci
Personally Known: or
Produc d1
i2./
ntification: FL P
6.k.. )